Provider Demographics
NPI:1235930355
Name:STEPHEN LASKI, DC
Entity type:Organization
Organization Name:STEPHEN LASKI, DC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:LASKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:617-917-4315
Mailing Address - Street 1:1325 WASHINGTON ST APT 1409
Mailing Address - Street 2:
Mailing Address - City:EAST WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-2576
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:17 STATION ST STE 100
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7995
Practice Address - Country:US
Practice Address - Phone:617-917-4315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-24
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty